European Aviation Safety Agency EASA Form 50 Navdb

Application for voluntary Letter of Acceptance
according toConditions for the issuance of Letters of Acceptance for navigation database Suppliers by the Agency
EASA
The European Aviation Safety Agency of the European Union
1. Registered name and address of the organisation:
2.Trade name (if different):
3. Locations for which the LOA is applied for:
4. Brief summary of proposed activities at the item 3 addresses
a) General:
b) Scope of LOA:
c) Nature of activities under the LoA:
5. Description of organisation:
6.Links/arrangements with Equipment manufacturers/design organisation(s) where different from 1. :
7.Approximate number of staff engaged or intended to be engaged in the activities:
8. Position and name of the accountable manager:
Date / Signature of the accountable manager

Block 1: The name of the organisation must be entered as stated in the register of the National Companies Registration Office. For the initial application a copy of the entry in the register of the National Companies Registration Office must be provided to the Competent Authority.

Block 2: State the trade name by which the organisation is known to the public if different from the information given in Block 1. The use of a logo may be indicated in this Block.

Block 3: State all locations for which the approval is applied for. Only those locations must be stated that are directly under the control of the legal entity stated in Block 1.

Block 4: This Block must include further details of the activities under the Letter of Acceptance for the addresses indicated in Block 4. The Block “General” must include overall information, while the Block “Scope of Letter of Acceptance” must address the scope of work and activities following the principles laid down in GM A.151. The Block “nature of accepted activities” must indicate the requested accepted activities as defined in A.163(b)-(d) taking into account the definitions for Type 1 and Type 2 LoA in A.132. For an application for renewal state “N/A”.

Block 5: This Block must state a summary of the organisation with reference to the outline of the navigational database supplier exposition, including the organisational structure, functions and responsibilities. The nomination of the responsible managers in accordance with A.145(c)(2) must be included as far as possible, accompanied by the corresponding EASA Forms 4/Navdb.

For an application for renewal state “N/A”.

Block 6: The information entered here is essential for the evaluation of eligibility of the voluntary application. Therefore special attention must be given concerning the completion of this Block either directly or by reference to supporting documentation in relation to the requirements of A.133(b) and (c).

Block 7: The information to be entered here must reflect the number of staff, or in case of an initial acceptance the intended number of staff, for the complete activities to be covered by the Letter of Acceptance and therefore must include also any associated administrative staff.

Block 8: State the position and name of the accountable manager.

Address your application to:

European Aviation Safety Agency

Applications and Procurement Services Department

Postfach 10 12 53

D-50452 Cologne

Germany

Fax: +49 (0) 221 89990 4448

E-mail:

Issue 1
08/09/2010 / Application for voluntary Letter of Acceptance / Page 1 of 2